Section 488.20 - Periodic review of compliance and approval(a) Determinations by CMS to the effect that a provider or supplier is in compliance with the conditions of participation, or requirements (for SNFs and NFs), or the conditions for coverage are made as often as CMS deems necessary and may be more or less than a 12-month period, except for SNFs, NFs and HHAs. (See § 488.308 for special rules for SNFs and NFs.)(b) The responsibilities of State survey agencies in the review and certification of compliance are as follows: (1) Resurvey providers or suppliers as frequently as necessary to ascertain compliance and confirm the correction of deficiencies;(2) Review reports prepared by a Professional Standards Review Organization (authorized under Part B Title XI of the Act) or a State inspection of care team (authorized under Title XIX of the Act) regarding the quality of a facility's care;(3) Evaluate reports that may pertain to the health and safety of patients; and(4) Take appropriate actions that may be necessary to achieve compliance or certify noncompliance to CMS.(c) A State survey agency certification to CMS that a provider or supplier is no longer in compliance with the conditions of participation or requirements (for SNFs and NFs) or conditions for coverage will supersede the State survey agency's previous certification.45 FR 74833, Nov. 12, 1981. Redesignated and amended at 53 FR 23100, June 17, 1988, and further amended at 54 FR 5373, Feb. 2, 1989; 56 FR 48879, Sept. 26, 1991; 59 FR 56237, Nov. 10, 1994 Secs. 1102, 1814, 1861, 1863 through 1866, 1871, and 1881; 42 U.S.C. 1302 , 1395f , 1395x , 1395z through 1395cc , 1395hh , and 1395rr